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Updated: May 5, 2026

Electrochemotherapy of Tumours
Published on: December 15, 2008
Non-Q-wave myocardial infarction associated with bleomycin and etoposide chemotherapy
S Schwarzer1, B Eber, H Greinix
1Department of Medicine III, Landeskrankenhaus Graz, Austria.
Abstract:
During chemotherapy with bleomycin and etoposide a 28-year-old male, suffering from germ-cell cancer, developed acute myocardial infarction. Under treatment with heparin and aspirin the patient revealed no Q-waves in ECG and recovery was without complications. Four weeks after onset of infarction, thallium-201 scintigraphy showed only a small irreversible, posteroseptal perfusion defect; coronary angiography was not performed. The chemotherapy regimen was continued and modified to etoposide as well as cisplatin and ifosfamide without recurrence of cardiac symptoms or ECG changes.
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